Organization Active NPI

Merryl S Koplo OD PA

Doing business as Koplo Eye Center

  • Eyewear Supplier
  • Plantation, FL
National Provider Identifier
1669641577
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
FL3131 Issued in FL
Legal business name
MERRYL S KOPLO OD PA
Doing business as
Koplo Eye Center
Practice address
1858 N University Dr
Plantation, FL 33322-4117
Phone
(954) 473-6860
Fax
(954) 473-8660
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Merryl S Koplo, OD
Title
President
Phone
(954) 473-6860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X FL3131 FL Primary

Addresses

Primary practice location

1858 N University Dr
Plantation, FL 33322-4117

Mailing address

1858 N University Dr
Plantation, FL 33322-4117
Phone (954) 473-6860

Other identifiers 1

IdentifierTypeStateIssuer
6212492 00MedicaidFL

Other names 1

  • Koplo Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

1858 N University Dr
Plantation, FL 33322
Phone (954) 370-6650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1669641577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 N UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224117",
            "telephone_number": "954-473-6860",
            "fax_number": "954-473-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 N UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224117",
            "telephone_number": "954-473-6860",
            "fax_number": "954-473-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRYL S KOPLO OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "KOPLO",
        "authorized_official_first_name": "MERRYL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-473-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "FL3131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6212492 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koplo Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.